Methods of using antibodies to detect alpha-synuclein in fluid samples

ABSTRACT

The invention provides methods for detecting alpha-synuclein. The invention also identifies preferred epitopes of alpha synuclein for use in such detection, and provides antibodies specifically binding to such epitopes.

CROSS-REFERENCE TO RELATED APPLICATION

The present application is a nonprovisional and claims the benefit ofU.S. Ser. No. 60/518,140; filed Nov. 8, 2003, incorporated by referencein its entirety for all purposes.

BACKGROUND OF THE INVENTION

Alpha-synuclein (alphaSN) brain pathology is a conspicuous feature ofseveral neurodegenerative diseases, including Parkinson's disease (PD),dementia with Lewy bodies (DLB), the Lewy body variant of Alzheimer'sdisease (LBVAD), multiple systems atrophy (MSA), and neurodegenerationwith brain iron accumulation type-1 (NBIA-1). Common to all of thesediseases, termed synucleinopathies, are proteinaceous insolubleinclusions in the neurons and the glia which are composed primarily ofalphaSN.

Lewy bodies and Lewy neurites are intraneuronal inclusions whichprimarily contain of alphaSN. Lewy bodies and Lewy neurites are theneuropathological hallmarks Parkinson's disease (PD). PD and othersynucleinopathic diseases have been collectively referred to as Lewybody disease (LBD). LBD is characterized by degeneration of thedopaminergic system, motor alterations, cognitive impairment, andformation of Lewy bodies (LBs). (McKeith et al., Clinical andpathological diagnosis of dementia with Lewy bodies (DLB): Report of theCDLB International Workshop, Neurology (1996) 47:1113-24). Other LBDsinclude diffuse Lewy body disease (DLBD), Lewy body variant ofAlzheimer's disease (LBVAD), combined PD and Alzheimer's disease (AD),and multiple systems atrophy. Dementia with Lewy bodies (DLB) is a termcoined to reconcile differences in the terminology of LBDs.

Disorders with LBs continue to be a common cause for movement disordersand cognitive deterioration in the aging population (Galasko et al.,Arch. Neurol. (1994) 51:888-95). Although their incidence continues toincrease creating a serious public health problem, to date thesedisorders are neither curable nor preventable and understanding thecauses and pathogenesis of PD is critical towards developing newtreatments (Tanner et al., Curr. Opin. Neurol. (2000) 13:427-30). Thecause for PD is controversial and multiple factors have been proposed toplay a role, including various neurotoxins and genetic susceptibilityfactors.

In recent years, new hope for understanding the pathogenesis of PD hasemerged. Specifically, several studies have shown that the synapticprotein alpha-SN plays a central role in PD pathogenesis since: (1) thisprotein accumulates in LBs (Spillantini et al., Nature (1997)388:839-40; Takeda et al., AM. J. Pathol. (1998) 152:367-72; Wakabayashiet al., Neurosci. Lett. (1997) 239:45-8), (2) mutations in the alpha-SNgene co-segregate with rare familial forms of parkinsonism (Kruger etal., Nature Gen. (1998) 18:106-8; Polymeropoulos M H, et al., Science(1997) 276:2045-7) and, (3) its overexpression in transgenic mice(Masliah et al., Science (2000) 287:1265-9) and Drosophila (Feany etal., Nature (2000) 404:394-8) mimics several pathological aspects of PD.Thus, the fact that accumulation of alpha-SN in the brain is associatedwith similar morphological and neurological alterations in species asdiverse as humans, mice, and flies suggests that this moleculecontributes to the development of PD.

Alpha-SN is part of a large family of proteins including beta- andgamma- synuclein and synoretin. Alpha-SN is expressed in the normalstate associated with synapses and is believed to play a role in neuralplasticity, learning and memory. Mutations in human (h) alpha-SN thatenhance the aggregation of alpha-SN have been identified (Ala30Pro andAla53Thr) and are associated with rare forms of autosomal dominant formsof PD. The mechanism by which these mutations increase the propensity ofalpha-SN to aggregate are unknown.

SUMMARY OF THE CLAIMED INVENTION

The invention provides a monoclonal antibody that competes with amonoclonal antibody shown in Table 1 for specific binding to alphasynuclein. Optionally, the monoclonal antibody specifically binds alphasynuclein compared to beta synuclein. Optionally, the monoclonalantibody specifically binds human alpha synuclein compared to non-humanalpha synuclein. Optionally, the monoclonal specifically binds to anepitope bound by a monoclonal antibody shown in Table 1. Some antibodiesspecifically binds to an epitope within residues 109-120, or to anepitope on the C-terminus of synuclein, or to an epitope comprisingresidues 139-140. Some antibodies specifically bind to an epitope on theN-terminus of synuclein. Some antibodies specifically bind to an epitopewithin residues 43-51 and within residues 58-65. Some antibodiesspecifically bind to a repeated epitope comprising residues withinresidues 43-51 and residues within residues 58-65. Some antibodiesspecifically bind to an epitope within residues 118-126. Some antibodiesspecifically bind to an epitope comprising residues 91-99. Someantibodies specifically bind to an epitope comprising residues 40-55.Some antibodies specifically bind to an epitope comprising residues124-134, wherein residue 129 is phosphorylated serine. Some antibodiesspecifically bind to an epitope comprising residues 123-127, whereinresidue 125 is nitrated tyrosine. Some antibodies specifically binds tohuman alpha synuclein without specifically binding to mouse alphasynuclein.

Preferred antibodies include 9E4 or an antibody that competes with 9E4for specific binding to human alpha synuclein. Other preferredantibodies include 11A5 or an antibody that competes with 11A5 forspecific binding to phosphorylated human alpha synuclein. Otherpreferred antibodies include 6H7 or an antibody that competes with 6H7for specific binding to alpha synuclein. Other preferred antibodiesinclude 4B1 or 8A5 or an antibody that competes with 4B1 or 8A5 forspecific binding to alpha synuclein. Other preferred antibodies include7G4, 6A8, 5C12, 6A12, 9G5, and 1H7, and antibodies that competestherewith for specific binding to alpha synuclein.

Some antibodies specifically bind to mouse alpha synuclein withoutspecifically binding to human alpha synuclein. Some antibodiesspecifically bind to mouse and human alpha synuclein. Some antibodiesspecifically bind to alpha synuclein phosphorylated at residue 129without specifically binding to nonphosphorylated alpha synuclein. Someantibodies are end-specific for the N-terminus or C-terminus of alphasynuclein. Some antibodies specifically bind to alpha synuclein withoutspecifically binding to beta or gamma synuclein.

Some antibodies specifically bind to an epitope within a segment ofamino acids selected of the group consisting of amino acids 109-120,43-51 and 58-65, 91-96, 118-126, and 91-99. Exemplary monoclonalantibodies are shown in Table 1 and include 7G4, 6A8, 5C12, 6A12, 8A5,4B1, 6H7, 3A12, 12C1, 9A6, 9G5, 9E4, 23E8, 10G5, 3C12, 11A5 and 1H7.

Some antibodies are monoclonal antibodies that specifically binds tophosphorylated alpha synuclein. Some antibodies are monoclonalantibodies that specifically bind to nitrated synuclein. Some antibodiesare monoclonal antibodies capable of capturing soluble synuclein from afluid sample, preferably alpha-synuclein and more preferably human alphasynuclein.

Some antibodies are monoclonal antibodies that specifically bind to anepitope within residues selected from the group consisting of theN-terminus, 118-126, 91-99 and 40-55. Some monoclonal antibodiescompetes with the monoclonal antibody selected from the group consistingof 6H7, 3QA12, 12C6, 12C1, 9A6, 9G5, 9E4, 1H7 and 23E8. Exemplaryantibodies include monoclonals 6H7, 3QA12, 12C6, 12C1, 9A6, 9G5, 9E4,1H7 and 23E8.

The invention further provides a pair of monoclonal antibodies, each ofthe monoclonal antibodies specifically binding to a different epitopewithin synuclein, wherein the monoclonal antibodies are capable ofdetecting soluble synuclein when used together in an ELISA assay.Optionally, one monoclonal antibody is immobilized to a solid phase. Insome methods, the use of the monoclonal antibodies in the ELISA assay issequential. In some methods, one monoclonal antibody is a captureantibody and the other monoclonal antibody is a reporter antibody. Insome methods, the capture antibody specifically binds an epitope withinresidues selected from the group consisting of N-terminus, 40-55, 91-99and 118-126, and the reporter antibody specifically binds an epitopewithin residues 109-120. In some methods, the pair is selected from thegroup of an antibody that competes with 6H7 and an antibody thatcompetes with 5C12 or 12C1, an antibody that competes with 3A12 and anantibody that competes with 5C12 or 6H7, an antibody that competes with12C1 and an antibody that competes with 5C12 or 6H7, an antibody thatcompetes with 9A6 and an antibody that competes with 5C12, 6H7 or 12C1,an antibody that competes with 9G5 and an antibody that competes with5C12, 6H7 or 12C1, an antibody that competes with 9E4 and an antibodythat competes with 5C12, 6H7 or 12C1, an antibody that competes with 1H7and an antibody that competes with 5C12, 6H7 or 12C1, and an antibodythat competes with 10G5 and an antibody that competes with 5C12, 6H7 or12C1. Optionally, the pair is selected from the group of 6H7 and 5C12 or12C1; 3A12 and 5C12 or 6H7; 12C1 and 5C12 or 6H7; 9A6 and 5C12, 6H7 or12C1; 9G5 and 5C12, 6H7 or 12C1; 9E4 and 5C12, 6H7 or 12C1; 1H7 and5C12, 6H7 or 12C1; and 10G5 and 5C12, 6H7 or 12C1.

The invention further provides a hybridoma producing a monoclonalantibody shown in Table 1.

The invention further provides a humanized or chimeric version of amonoclonal antibody shown in Table 1.

The invention further provides a method of humanizing a monoclonalantibody shown in Table 1, comprising: determining the amino acidsequence of CDR regions of the monoclonal antibody; selecting anacceptor antibody; and producing a humanized antibody comprising theCDRs from the monoclonal antibody and variable region frameworks fromthe acceptor antibody.

The invention further provides a method of producing a chimeric form ofan antibody shown in Table 1, comprising: determining the amino acidsequence of the light and heavy chain variable regions of the monoclonalantibody; selecting heavy and light chain constant region; producing achimeric antibody comprising a light chain comprising the light chainvariable region fused to the light chain constant region, and a heavychain comprising the heavy chain variable region fused to the heavychain constant region.

The invention further provides a method for detecting alpha synuclein ina fluid sample, comprising capturing the alpha synuclein using a captureantibody and detecting the alpha synuclein using a reporter antibody,wherein the capture and reporter antibodies bind to different epitopeson alpha synuclein. In some methods, the fluid sample contains 0.1-1.0 Mguanidine. In some methods, the fluid sample contains 0.5 M guanidine.In some methods, the reporter antibody or the capture antibody isend-specific for the C-terminal end of SN1-119 or SN1-122. In somemethods, the capturing step is performed twice with a first reporterantibody specifically binding to an epitope within SN1-119 and a secondreporter antibody specifically binding to an antibody within SN120-140and determining a ratio of captured alpha synuclein between the twosteps, a higher ratio of synuclein captured by first reporter relativeto second report being indicative of pathogenicity. In some methods, thereporter antibody in the first capturing step specifically binds to anepitope within SN 109-120, and the reporter antibody in the secondcapturing step specifically binds to an epitope within SN 120-126, andthe capture antibody in both capturing steps specifically binds to anepitope within SN 91-99. In some methods, the capture antibody isimmobilized to a solid phase, and the reporter antibody in solution, andthe detecting step comprises detecting alpha synuclein from presence ofthe reporter antibody linked to the solid phase via binding of thereporter antibody to alpha synuclein, which is in turn bound to thecapture antibody. Some methods involve a further step of comparing asignal from the reporter antibody linked to the solid phase fromanalyzing the sample with a signal from the reporter antibody linked tothe solid phase from analyzing a control sample containing a knownamount of alpha synuclein to determine the amount of alpha synuclein inthe sample. In some methods, a signal from the reporter antibody linkedto the solid phase from analyzing the sample to a calibration curve ofsignal is compared with an amount of alpha synuclein to determine theamount of alpha synuclein in the sample. In some methods, a signal fromthe reporter antibody is proportional to the amount of synuclein in thesample. Some methods further comprise contacting the reporter antibodywith a labeled antibody to generate a signal indicating presence of thereporter antibody. In some methods, the capture antibody specificallybinds to an epitope within amino acids 91-99 of human alpha synucleinand the reporter antibody binds to an epitope within amino acids 109-120of alpha synuclein. In some methods, the capture antibody is 1H7 and thereporter antibody is 5C12. In some methods, the sample is a sample froma human. In some methods, the capture antibody is 1H7 and the reporterantibody is 9E4. In some methods, the sample from a mouse. In somemethods, the sample is a body fluid. In some methods, the sample iscerebrospinal fluid (CSF) of a human. In some methods, the sample is abrain homogenate of a human or transgenic animal. In some methods, thesample is a medium used to culture cells. In some methods, the cellsexpress recombinant alpha synuclein. In some methods, the samplecontains a fragment of full-length alpha synuclein and the detectingstep detects the fragment.

The invention further provides a method of monitoring processing ofalpha-synuclein to a fragment, comprising culturing a cell expressingalpha synuclein and processing the alpha synuclein to a fragment that issecreted to the cell media; and detecting the fragment in the cellmedia. In some methods, the cell is a PeakS or SY5Y cell transfectedwith alpha synuclein. In some methods, the cell is a cortical cell.

The invention further provides a method of screening an agent foractivity in inhibiting processing or secretion of alpha synuclein,comprising contacting a cell expressing alpha synuclein in culturemedium with an agent; detecting alpha synuclein or a fragment thereof inthe medium; and comparing the amount of alpha synuclein or the fragmentin the medium with an among of alpha synuclein or fragment in mediumfrom a control cell not contacted with the agent, wherein a reduction inthe amount of alpha synuclein or the fragment indicates the agentinhibits processing or secretion of the alpha synuclein.

The invention further provides a method for detecting soluble alphasynuclein in a fluid sample, comprising: capturing the soluble fragmentfrom the sample using a first binding substance under conditions inwhich the first binding substance specifically binds to a first epitopeand detecting capture of the soluble alpha synuclein using a secondbinding substance which binds to an epitope on a second region of thesoluble alpha synuclein different from the first epitope.

The invention further provides a method for detecting a soluble fragmentof alpha synuclein in a fluid sample in the presence of full lengthalpha synuclein the method comprising: capturing the soluble fragmentfrom the sample using a first binding substance, and detecting thesoluble fragment using a second binding substance, wherein both bindingsubstances specifically bind to the fragment and at least onespecifically binds to the fragment without binding to full length alphasynuclein.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGS. 1A and B show quantitative detection of alpha synuclein using anELISA assay with two pairs of antibodies 1H7/5C12 and 1H7/9E4respectively.

FIG. 2 shows a calibration curve for detection of alpha synuclein using1H7/5C12 as capture and reporter antibodies. 1H7/5C12 is equal insensitivity to 1H7/9E4 in 0.5 M guanidine.

FIG. 3 shows a calibration curve for detection of alpha synuclein using1H7 and 9E4 as capture and reporter antibodies. 1H7/9E4 is equal insensitivity to 1H7/5C12 in 0.5 M guanidine.

FIG. 4 shows a calibration curve for detection of phosphorylated alphasynuclein using 11A5 and 5C12 as capture and reporter antibodies.

Definitions

The phrase that an antibody “specifically binds” to a target refers to abinding reaction which is determinative of the presence of the antibodyin the presence of a heterogeneous population of other biologics. Thus,under designated immunoassay conditions, a specified molecule bindspreferentially to a particular target and does not bind in a significantamount to other biologics present in the sample. Specific binding of anantibody to a target under such conditions requires the antibody beselected for its specificity to the target. A variety of immunoassayformats may be used to select antibodies specifically immunoreactivewith a particular protein. For example, solid-phase ELISA immunoassaysare routinely used to select monoclonal antibodies specificallyimmunoreactive with a protein. See, e.g., Harlow and Lane (1988)Antibodies, A Laboratory Manual, Cold Spring Harbor Publications, NewYork, for a description of immunoassay formats and conditions that canbe used to determine specific immunoreactivity. Specific binding betweentwo entities means an affinity of at least 10⁶, 10⁷, 10⁸, M⁻¹, or 10¹⁰M⁻¹. Affinities greater than 10⁸ M⁻¹ are preferred. Lack of specificbinding means an affinity of less than 10⁶ M⁻¹.

The term “antibody” or “immunoglobulin” is used to include intactantibodies and binding fragments thereof. Typically, fragments competewith the intact antibody from which they were derived for specificbinding to an antigen fragment including separate heavy chains, lightchains Fab, Fab′ F(ab′)2, Fabc, and Fv. Fragments are produced byrecombinant DNA techniques, or by enzymatic or chemical separation ofintact immunoglobulins. The term “antibody” also includes one or moreimmunoglobulin chains that are chemically conjugated to, or expressedas, fusion proteins with other proteins. The term “antibody” alsoincludes bispecific antibody. A bispecific or bifunctional antibody isan artificial hybrid antibody having two different heavy/light chainpairs and two different binding sites. Bispecific antibodies can beproduced by a variety of methods including fusion of hybridomas orlinking of Fab′ fragments. See, e.g., Songsivilai & Lachmann, Clin. Exp.Immunol. 79:315-321 (1990); Kostelny et al., J. Immunol. 148, 1547-1553(1992).

Antibodies of the invention are typically substantially pure fromundesired contaminant. This means that an agent is typically at leastabout 50% w/w (weight/weight) purity, as well as being substantiallyfree from interfering proteins and contaminants. Sometimes theantibodies are at least about 80% w/w and, more preferably at least 90or about 95% w/w purity. However, using conventional proteinpurification techniques, homogeneous peptides of at least 99% w/w can beobtained.

An “antigen” is an entity to which an antibody specifically binds.

The term “epitope” or “antigenic determinant” refers to a site on anantigen to which B and/or T cells respond. B-cell epitopes can be formedboth from contiguous amino acids or noncontiguous amino acids juxtaposedby tertiary folding of a protein. Epitopes formed from contiguous aminoacids are typically retained on exposure to denaturing solvents whereasepitopes formed by tertiary folding are typically lost on treatment withdenaturing solvents. An epitope typically includes at least 3, and moreusually, at least 5 or 8-10 amino acids in a unique spatialconformation. Methods of determining spatial conformation of epitopesinclude, for example, x-ray crystallography and 2-dimensional nuclearmagnetic resonance. See, e.g., Epitope Mapping Protocols in Methods inMolecular Biology, Vol. 66, Glenn E. Morris, Ed. (1996). Antibodies thatrecognize the same epitope can be identified in a simple immunoassayshowing the ability of one antibody to block the binding of anotherantibody to a target antigen.

The term “compete” means competition between antibodies is determined byan assay in which the immunoglobulin under test inhibits specificbinding of a reference antibody to a common antigen, such as alpha-SN.Numerous types of competitive binding assays are known, for example:solid phase direct or indirect radioimmunoassay (RIA), solid phasedirect or indirect enzyme immunoassay (EIA), sandwich competition assay(see Stahli et al., Methods in Enzymology 9:242-253 (1983)); solid phasedirect biotin-avidin EIA (see Kirkland et al., J. Immunol. 137:3614-3619(1986)); solid phase direct labeled assay, solid phase direct labeledsandwich assay (see Harlow and Lane, Antibodies, A Laboratory Manual,Cold Spring Harbor Press (1988)); solid phase direct label RIA usingI-125 label (see Morel et al., Molec. Immunol. 25(1):7-15 (1988)); solidphase direct biotin-avidin EIA (Cheung et al., Virology 176:546-552(1990)); and direct labeled RIA (Moldenhauer et al., Scand. J. Immunol.32:77-82 (1990)). Typically, such an assay involves the use of purifiedantigen bound to a solid surface or cells bearing either of these, anunlabelled test immunoglobulin and a labeled reference immunoglobulin.Competitive inhibition is measured by determining the amount of labelbound to the solid surface or cells in the presence of the testimmunoglobulin. Usually the test immunoglobulin is present in excess.Antibodies identified by competition assay (competing antibodies)include antibodies binding to the same epitope as the reference antibodyand antibodies binding to an adjacent epitope sufficiently proximal tothe epitope bound by the reference antibody for steric hindrance tooccur. Usually, when a competing antibody is present in excess, it willinhibit specific binding of a reference antibody to a common antigen byat least 50 or 75%.

The terms “conditioned culture medium” and “culture medium” refer to theaqueous extracellular fluid which surrounds cells grown in tissueculture (in vitro) and which contains, among other constituents,proteins and peptides secreted by the cells.

The term “body fluid” refers to those fluids of a mammalian host whichis suspected contain measurable amounts of alpha synuclein or fragmentsthereof, specifically including blood, cerebrospinal fluid (CSF), urine,and peritoneal fluid. The term “blood” refers to whole blood, as well asblood plasma and serum.

A “pharmacological” activity means that an agent at least exhibits anactivity in a screening system that indicates that the agent is or maybe useful in the prophylaxis or treatment of a disease. The screeningsystem can be in vitro, cellular, animal or human. Agents can bedescribed as having pharmacological activity notwithstanding thatfurther testing may be required to establish actual prophylactic ortherapeutic utility in treatment of a disease.

An end-specific antibody means an antibody whose epitope includes aterminal residue of an antigen, and the antibody specifically binds tothe antigen only when that residue has a free end. For example, anantibody that binds to the N-terminus of alpha synuclein when the alphasynuclein is not linked to any other protein but which does notspecifically bind when the N-terminus of alpha synuclein is fused toanother protein is an end-specific antibody.

A synucleinopathic disease means a disease characterized by Lewy bodies,Lewy neurites or other deposits of alpha synuclein.

An immunogenic fragment of alpha synuclein is one capable of inducing ahumoral (antibody mediated) and/or a cellular (mediated byantigen-specific T cells or their secretion products) when administeredto a subject.

Compositions or methods “comprising” one or more recited elements mayinclude other elements not specifically recited. For example, acomposition that comprises alpha-SN peptide encompasses both an isolatedalpha-SN peptide and alpha-SN peptide as a component of a largerpolypeptide sequence.

DETAILED DESCRIPTION

I. Antibodies of the Invention

The invention provides several exemplary monoclonal antibodies todifferent epitopes of alpha synuclein as shown in Table 1. Hybridomasproducing the respective antibodies are also provided. The hybridomasproducing the antibodies have been deposited with the American TypeCulture Collection (ATCC) at 10801 University Boulevard, Manassas, Va.20110-2209. The cell line designated JH22.11A5.6.29.70.54.16.14,producing the antibody 11A5 having the ATCC accession number PTA-8222has been deposited on Feb. 26, 2007 at the ATCC; the cell linedesignated JH4.8A5.25.7.36, producing the antibody 8A5 having the ATCCaccession number PTA-6909 has been deposited on Aug. 4, 2005 at theATCC; the cell line designated JH17.1H7.4.24.34, producing the antibody1H7 having the ATCC accession number PTA-8220, has been deposited onFeb. 26, 2007 at the ATCC; the cell line designatedJH17.9E4.3.37.1.14.2, producing the antibody 9E4 having the ATCCaccession number PTA-8221 has been deposited on Feb. 26, 2007 at theATCC; the cell line designated JH17.6H7.1.54.28, producing the antibody6H7 having the ATCC accession number PTA-6910 has been deposited at theATCC; the cell line designated JH4.5C12.4.15.57, producing the antibody5C12 having the ATCC accession number PTA-9197 has been deposited on May8, 2008 at the ATCC. The first column of Table 1 shows the name of anantibody. The same name is used to refer to an antibody and thehybridoma producing it. The second column shows the antigen used togenerate the antibody. The third column indicates the epitope bound bythe antibody. The fourth column indicates the isotype. The fifth columnindicates applications of the antibody (immunofluorescence, Westernblot, immunoprecipitation, histology, and capture and reporter antibodyfor a sandwich assay). The invention further provides humanized andchimeric forms of mouse monoclonals, particularly of the exemplifiedantibodies shown in Table 1.

The invention also provides other antibodies that compete with one ofthe exemplified antibodies for specific binding to alpha-synuclein(i.e., bind to the same epitope as an exemplified antibody or asufficiently proximal epitope to interfere with the binding of anexemplified antibody to its epitope). The invention also providesantibodies that bind to the same epitope as one of the exemplifiedantibodies. Antibodies that compete with or bind to the same epitope asan exemplified antibody are expected to show similar functionalproperties. Such antibodies include mouse and other nonhuman antibodies,human antibodies, chimerics and humanized antibodies. Such antibodiesinclude monoclonal antibodies and polyclonal antibody. A polyclonalantibody specifically binds to an epitope if it binds to the epitopewithout binding to other regions of alpha synuclein. This is usuallytrue of a monoclonal antibody as well. However, some monoclonalantibodies can be designed or selected to have specificity for twoepitopes within alpha synuclein.

Some preferred epitope specificities include monoclonal antibodies thatspecifically binds to a repeated epitope comprising residues withinresidues 43-51 and residues within residues 58-65, monoclonal antibodiesthat specifically binds to an epitope within residues 118-126;monoclonal antibodies that specifically binds to an epitope comprisingresidues 91-99, monoclonal antibodies that specifically binds to anepitope comprising residues 40-55; monoclonal antibodies thatspecifically binds to an epitope comprising residues 124-134, whereinresidue 129 is phosphorylated serine, and monoclonal antibodies thatspecifically binds to an epitope comprising residues 123-127, whereinresidue 125 is nitrated tyrosine.

When an antibody is said to bind to an epitope within specifiedresidues, such as alpha-SN 109-120, for example, what is meant is thatthe antibody specifically binds to a polypeptide consisting of thespecified residues (i.e., alpha-SN 109-120 in this an example). Such anantibody does not necessarily contact every residue within alpha-SN109-120. Nor does every single amino acid substitution or deletion within alpha-SN109-120 necessarily significantly affect binding affinity.Epitope specificity of an antibody can be determined, for example, bytesting a collection of overlapping peptides of about 15 amino acidsspanning the sequence of alpha-synuclein and differing in increments ofa small number of amino acids (e.g., 3 amino acids). The peptides areimmobilized within the wells of a microtiter dish. Immobilization can beeffected by biotinylating one terminus of the peptides. Optionally,different samples of the same peptide can be biotinylated at the N and Cterminus and immobilized in separate wells for purposes of comparison.Such is particularly useful for identifying end-specific antibodies.Optionally, additional peptides can be included terminating at aparticular amino acid of interest (e.g., the first and last residue ofthe NAC fragment). Such is particularly useful for identifyingend-specific antibodies to internal fragments of alpha synuclein. Anantibody is screened for specific binding to each of the variouspeptides. The epitope is defined as occurring within a segment of aminoacids that is common to all peptides to which the antibody showsspecific binding.

i. General Characteristics of Immunoglobulins

The basic antibody structural unit is known to comprise a tetramer ofsubunits. Each tetramer is composed of two identical pairs ofpolypeptide chains, each pair having one “light” (about 25 kDa) and one“heavy” chain (about 50-70 kDa). The amino-terminal portion of eachchain includes a variable region of about 100 to 110 or more amino acidsprimarily responsible for antigen recognition. The carboxy-terminalportion of each chain defines a constant region primarily responsiblefor effector function.

Light chains are classified as either kappa or lambda. Heavy chains areclassified as gamma, mu, alpha, delta, or epsilon, and define theantibody's isotype as IgG, IgM, IgA, IgD and IgE, respectively. Withinlight and heavy chains, the variable and constant regions are joined bya “J” region of about 12 or more amino acids, with the heavy chain alsoincluding a “D” region of about 10 more amino acids. (See generally,Fundamental Immunology, Paul, W., ed., 2nd ed. Raven Press, N.Y., 1989,Ch. 7 (incorporated by reference in its entirety for all purposes).

The variable regions of each light/heavy chain pair form the antibodybinding site. Thus, an intact antibody has two binding sites. Except inbifunctional or bispecific antibodies, the two binding sites are thesame. The chains all exhibit the same general structure of relativelyconserved framework regions (FR) joined by three hypervariable regions,also called complementarity determining regions or CDRs. The CDRs fromthe two chains of each pair are aligned by the framework regions,enabling binding to a specific epitope. From N-terminal to C-terminal,both light and heavy chains comprise the domains FR1, CDR1, FR2, CDR2,FR3, CDR3 and FR4. The assignment of amino acids to each domain is inaccordance with the definitions of Kabat, Sequences of Proteins ofImmunological Interest (National Institutes of Health, Bethesda, Md.,1987 and 1991); Chothia & Lesk, J. Mol. Biol. 196:901-917 (1987); orChothia et al., Nature 342:878-883 (1989).

ii. Production of Nonhuman Antibodies

Chimeric and humanized antibodies have the same or similar bindingspecificity and affinity as a mouse or other nonhuman antibody thatprovides the starting material for construction of a chimeric orhumanized antibody. Chimeric antibodies are antibodies whose light andheavy chain genes have been constructed, typically by geneticengineering, from immunoglobulin gene segments belonging to differentspecies. For example, DNA encoding the variable domains of a mouseantibody can be sequenced, and DNA construct(s) encoding the variabledomains joined to human constant (C) segments, such as IgG1 and IgG4constructed. The constructs are then expressed to produce the antibodyHuman isotype IgG1 is preferred. In some methods, the isotype of theantibody is human IgG1. IgM antibodies can also be used in some methods.A typical chimeric antibody is thus a hybrid protein consisting of the Vor antigen-binding domain from a mouse antibody and the C or effectordomain from a human antibody.

Humanized antibodies have variable region framework residuessubstantially from a human antibody or consensus of human antibodies(termed an acceptor antibody) and some and usually all sixcomplementarity determining regions substantially or entirely from amouse-antibody, (referred to as the donor immunoglobulin). See, Queen etal., Proc. Natl. Acad. Sci. USA 86:10029-10033 (1989), WO 90/07861, U.S.Pat. Nos. 5,693,762, 5,693,761, 5,585,089, 5,530,101, and Winter, U.S.Pat. No. 5,225,539 (each of which is incorporated by reference in itsentirety for all purposes). The constant region(s), if present, are alsosubstantially or entirely from a human immunoglobulin. The humanvariable domains are usually chosen from human antibodies whoseframework sequences exhibit a high degree of sequence identity with themurine variable region domains from which the CDRs were derived. Theheavy and light chain variable region framework residues can be derivedfrom the same or different human antibody sequences. The human antibodysequences can be the sequences of naturally occurring human antibodiesor can be consensus sequences of several human antibodies. See Carter etal., WO 92/22653. Certain amino acids from the human variable regionframework residues are selected for substitution based on their possibleinfluence on CDR conformation and/or binding to antigen. Investigationof such possible influences is by modeling, examination of thecharacteristics of the amino acids at particular locations, or empiricalobservation of the effects of substitution or mutagenesis of particularamino acids.

For example, when an amino acid differs between a murine variable regionframework residue and a selected human variable region frameworkresidue, the human framework amino acid should usually be substituted bythe equivalent framework amino acid from the mouse antibody when it isreasonably expected that the amino acid:

-   -   (1) noncovalently binds antigen directly,    -   (2) is adjacent to a CDR region,    -   (3) otherwise interacts with a CDR region (e.g. is within about        6 A of a CDR region), or    -   (4) participates in the VL-VH interface.

Other candidates for substitution are acceptor human framework aminoacids that are unusual for a human immunoglobulin at that position.These amino acids can be substituted with amino acids from theequivalent position of the mouse donor antibody or from the equivalentpositions of more typical human immunoglobulins. Other candidates forsubstitution are acceptor human framework amino acids that are unusualfor a human immunoglobulin at that position. The variable regionframeworks of humanized immunoglobulins usually show at least 85%sequence identity to a human variable region framework sequence orconsensus of such sequences.

iii. Human Antibodies

Human antibodies against alpha-SN are provided by a variety oftechniques described below. Some human antibodies are selected bycompetitive binding experiments, or otherwise, to have the same epitopespecificity as a particular mouse antibody, such as one of the mousemonoclonals shown in Table 1. Human antibodies can also be screened fora particular epitope specificity by using only a fragment of alpha-SN asthe immunogen, and/or by screening antibodies against a collection ofdeletion mutants of alpha-SN. Human antibodies preferably have isotypespecificity human IgG1. Several methods are available for producinghuman antibodies including the trioma method, Oestberg et al., Hybridoma2:361-367 (1983); Oestberg, U.S. Pat. No. 4,634,664; and Engleman etal., U.S. Pat. No. 4,634,666 (each of which is incorporated by referencein its entirety for all purposes); transgenic non-human mammalsdescribed in detail by, e.g., Lonberg et al., WO93/1222, U.S. Pat. Nos.5,877,397, 5,874,299, 5,814,318, 5,789,650, 5,770,429, 5,661,016,5,633,425, 5,625,126, 5,569,825, 5,545,806, Nature 148, 1547-1553(1994), Nature Biotechnology 14, 826 (1996), Kucherlapati, WO91/10741(each of which is incorporated by reference in its entirety forall purposes); and phage display methods See, e.g., Dower et al., WO91/17271 and McCafferty et al., WO 92/01047, U.S. Pat. Nos. 5,877,218,5,871,907, 5,858,657, 5,837,242, 5,733,743 and 5,565,332 (each of whichis incorporated by reference in its entirety for all purposes).

iv. Selection of Constant Region

The heavy and light chain variable regions of chimeric, humanized, orhuman antibodies can be linked to at least a portion of a human constantregion. The choice of constant region depends, in part, whetherantibody-dependent complement and/or cellular mediated toxicity isdesired. For example, isotopes IgG1 and IgG3 have complement activityand isotypes IgG2 and IgG4 do not. Choice of isotype can also affectpassage of antibody into the brain. Human isotype IgG1 is preferred.Light chain constant regions can be lambda or kappa. Antibodies can beexpressed as tetramers containing two light and two heavy chains, asseparate heavy chains, light chains, as Fab, Fab′ F(ab′)2, and Fv, or assingle chain antibodies in which heavy and light chain variable domainsare linked through a spacer.

v. Expression of Recombinant Antibodies

Chimeric, humanized and human antibodies are typically produced byrecombinant expression. Recombinant polynucleotide constructs typicallyinclude an expression control sequence operably linked to the codingsequences of antibody chains, including naturally associated orheterologous promoter regions. Preferably, the expression controlsequences are eukaryotic promoter systems in vectors capable oftransforming or transfecting eukaryotic host cells. Once the vector hasbeen incorporated into the appropriate host, the host is maintainedunder conditions suitable for high level expression of the nucleotidesequences, and the collection and purification of the crossreactingantibodies.

These expression vectors are typically replicable in the host organismseither as episomes or as an integral part of the host chromosomal DNA.Commonly, expression vectors contain selection markers, e.g.,ampicillin-resistance or hygromycin-resistance, to permit detection ofthose cells transformed with the desired DNA sequences.

E. coli is one prokaryotic host particularly useful for cloning the DNAsequences of the present invention. Microbes, such as yeast are alsouseful for expression. Saccharomyces is a preferred yeast host, withsuitable vectors having expression control sequences, an origin ofreplication, termination sequences and the like as desired. Typicalpromoters include 3-phosphoglycerate kinase and other glycolyticenzymes. Inducible yeast promoters include, among others, promoters fromalcohol dehydrogenase, isocytochrome C, and enzymes responsible formaltose and galactose utilization.

Mammalian cells are a preferred host for expressing nucleotide segmentsencoding immunoglobulins or fragments thereof. See Winnacker, From Genesto Clones, (VCH Publishers, NY, 1987). A number of suitable host celllines capable of secreting intact heterologous proteins have beendeveloped in the art, and include CHO cell lines, various COS celllines, HeLa cells, L cells, human embryonic kidney cell, and myelomacell lines. Preferably, the cells are nonhuman. Expression vectors forthese cells can include expression control sequences, such as an originof replication, a promoter, an enhancer (Queen et al., Immunol. Rev.89:49 (1986)), and necessary processing information sites, such asribosome binding sites, RNA splice sites, polyadenylation sites, andtranscriptional terminator sequences. Preferred expression controlsequences are promoters derived from endogenous genes, cytomegalovirus,SV40, adenovirus, bovine papillomavirus, and the like. See Co et al., J.Immunol. 148:1149 (1992).

Alternatively, antibody coding sequences can be incorporated intransgenes for introduction into the genome of a transgenic animal andsubsequent expression in the milk of the transgenic animal (see, e.g.,U.S. Pat. Nos. 5,741,957, 5,304,489, 5,849,992). Suitable transgenesinclude coding sequences for light and/or heavy chains in operablelinkage with a promoter and enhancer from a mammary gland specific gene,such as casein or beta lactoglobulin.

The vectors containing the DNA segments of interest can be transferredinto the host cell by well-known methods, depending on the type ofcellular host. For example, calcium chloride transfection is commonlyutilized for prokaryotic cells, whereas calcium phosphate treatment,electroporation, lipofection, biolistics or viral-based transfection canbe used for other cellular hosts. Other methods used to transformmammalian cells include the use of polybrene, protoplast fusion,liposomes, electroporation, and microinjection (see generally, Sambrooket al., supra). For production of transgenic animals, transgenes can bemicroinjected into fertilized oocytes, or can be incorporated into thegenome of embryonic stem cells, and the nuclei of such cells transferredinto enucleated oocytes.

Once expressed, antibodies can be purified according to standardprocedures of the art, including HPLC purification, columnchromatography, and gel electrophoresis and the like (see generally,Scopes, Protein Purification (Springer-Verlag, N.Y., 1982).

II. Alpha Synuclein

Alpha synuclein was originally identified in human brains as theprecursor protein of the non-β-amyloid component of (NAC) of AD plaques.(Ueda et al., Proc. Natl. Acad. Sci. U.S.A. 90 (23):11282-11286 (1993).Alpha-SN, also termed the precursor of the non-Aβ component of ADamyloid (NACP), is a peptide of 140 amino acids. Alpha-SN has the aminoacid sequence:

(SEQ ID NO: 1) MDVFMKGLSKAKEGVVAAAEKTKQGVAEAAGKTKEGVLYVGSKTKEGVVHGVATVAEKTKEQVTNVGGAVVTGVTAVAQKTVEGAGSIAAATGFVKKDQLGKNEEGAPQEGILEDMPVDPDNEAYEMPSEEGYQDYEPEA

(Uéda et al., Ibid.; GenBank accession number: P37840).

The non-Aβ component of AD amyloid (NAC) is derived from alpha-SN. NAC,a highly hydrophobic domain within alpha synuclein, is a peptideconsisting of at least 28 amino acids residues (residues 60-87) (SEQ IDNO: 3) and optionally 35 amino acid residues (residues 61-95) (SEQ IDNO: 2). See FIG. 1. NAC displays a tendency to form a beta-sheetstructure (Iwai, et al., Biochemistry, 34:10139-10145). Jensen et al.have reported NAC has the amino acid sequence:

EQVTNVGGAVVTGVTAVAQKTVEGAGSIAAATGFV (SEQ ID NO: 2)

(Jensen et al., Biochem. J. 310 (Pt 1): 91-94 (1995); GenBank accessionnumber S56746).

Uéda et al. have reported NAC has the acid sequence:

KEQVTNVGGAVVTGVTAVAQKTVEGAGS (SEQ ID NO: 3)

(Uéda et al., PNAS USA 90:11282-11286 (1993).

Disaggregated alpha-SN or fragments thereof, including NAC, meansmonomeric peptide units. Disaggregated alpha-SN or fragments thereof aregenerally soluble, and are capable of self-aggregating to form solubleoligomers. Oligomers of alpha-SN and fragments thereof are usuallysoluble and exist predominantly as alpha-helices. Monomeric alpha-SN maybe prepared in vitro by dissolving lyophilized peptide in neat DMSO withsonication. The resulting solution is centrifuged to remove anyinsoluble particulates. Aggregated alpha-SN or fragments thereof,including NAC, means oligomers of alpha-SN or fragments thereof whichhave associate into insoluble beta-sheet assemblies. Aggregated alpha-SNor fragments thereof, including NAC, means also means fibrillarpolymers. Fibrils are usually insoluble. Some antibodies bind eithersoluble alpha-SN or fragments thereof or aggregated alpha-SN orfragments thereof. Some antibodies bind both soluble and aggregatedalpha-SN or fragments thereof.

Unless otherwise indicated, reference to alpha-SN means the naturalhuman amino acid sequence indicated above as well as natural allelic andspecies variants thereof, including full-length forms and immunogenicfragments thereof, as well as forms having undergone posttranslationalmodification, such as phosphorylation. Induced variants of alpha-SN orcan also be used but are not preferred. Such variants typically differfrom naturally occurring peptides at one, two or a few positions, oftenby virtue of conservative substitutions. Analogs can also unnaturalamino acids, but such is not preferred.

Alpha-SN, its fragments, and analogs can be synthesized by solid phasepeptide synthesis or recombinant expression, or can be obtained fromnatural sources. Automatic peptide synthesizers are commerciallyavailable from numerous suppliers, such as Applied Biosystems, FosterCity, Calif. Recombinant expression can be in bacteria, such as E. coli,yeast, insect cells or mammalian cells. Procedures for recombinantexpression are described by Sambrook et al., Molecular Cloning: ALaboratory Manual (C.S.H.P. Press, NY 2d ed., 1989). Some forms ofalpha-SN peptide are also available commercially, for example, at BACHEMand American Peptide Company, Inc.

Beta synuclein shows 78% sequence similarity with alpha synuclein at theamino acid level. Gamma synuclein shares 60% similarity at the aminoacid level with alpha-synuclein (see Biere et al., J. Biol. Chem., Vol.275, Issue 44, 34574-34579, Nov. 3, 2000, incorporated by reference).

III. Assays for Detecting Alpha Synuclein

Antibodies of the invention can be used to detect alpha synuclein orfragments thereof in a variety of formats including immunoprecipitation,Western blotting, ELISA, radioimmunoassay, competitive and isometricassays. See Harlow & Lane, Antibodies, A Laboratory Manual (CSHP NY,1988); U.S. Pat. Nos. 3,791,932; 3,839,153; 3,850,752; 3,879,262;4,034,074, 3,791,932; 3,817,837; 3,839,153; 3,850,752; 3,850,578;3,853,987; 3,867,517; 3,879,262; 3,901,654; 3,935,074; 3,984,533;3,996,345; 4,034,074; and 4,098,876.

Isometric or sandwich assays are a preferred format (see U.S. Pat. Nos.4,376,110, 4,486,530, 5,914,241, and 5,965,375). Such assays use oneantibody immobilized to a solid phase (capture antibody), and anotherantibody in solution (reporter antibody). Typically, the reporterantibody is labeled, either directly or via a secondary labelingreagent, such as an anti-idiotypic antibody. The capture and reporterantibodies having different binding specificities so both can bind toalpha-synuclein or a fragment thereof at the same time. Capture andreporter antibodies can be contacted with target antigen in either orderor simultaneously. If the capture antibody is contacted first, the assayis referred to as being a forward assay. Conversely, if the reporterantibody is contacted first, the assay is referred to as being a reverseassay. If target is contacted with both antibodies simultaneously, theassay is referred to as a simultaneous assay. After contacting thetarget with antibody, a sample is incubated for a period that usuallyvaries from about 10 min to about 24 hr and is usually about 1 hr. Awash step is then performed to remove components of the sample that donot become specifically bound to the solid phase. When capture andreporter antibodies are bound in separate steps, a wash can be performedafter either or both binding steps. After washing, binding isquantified, typically by detecting label linked to the solid phasethrough binding of labeled reporter. Usually for a given pair ofantibodies, a calibration curve is prepared from samples containingknown concentrations of target antigen. Concentrations of antigen insamples being tested are then read by interpolation from the calibrationcurve. Analyte can be measured either from the amount of labeledreporter antibody bound at equilibrium or by kinetic measurements ofbound labeled solution antibody at a series of time points beforeequilibrium is reached. The slope of such a curve is a measure of theconcentration of target in a sample. Alternatively, the amount of alphasynuclein in a sample can be determined by comparing the signal ofreporter antibody bound to alpha synuclein the sample with the signalfrom reporter antibody bound to a known amount of alpha synuclein in acontrol sample.

Competitive assays can also be used. In some methods, targetalpha-synuclein in a sample competes with exogenously supplied labeledalpha synuclein for binding to an antibody. The amount of labeled alphasynuclein bound to the antibody is inversely proportional to the amountof target alpha synuclein in the sample. The antibody can be immobilizedto facilitate separation of the bound complex from the sample prior todetection (heterogeneous assays) or separation may be unnecessary aspracticed in homogeneous assay formats. In other methods, the antibodyused as a detection reagent is labeled. When the antibody is labeled,its binding sites compete for binding to the target alpha synuclein inthe sample and exogenously supplied form of alpha synuclein immobilizedon a solid phase.

Suitable detectable labels for use in the above methods include anymoiety that is detectable by spectroscopic, photochemical, biochemical,immunochemical, electrical, optical, chemical, or other means. Forexample, suitable labels include biotin for staining with labeledstreptavidin conjugate, fluorescent dyes (e.g., fluorescein, Texas red,rhodamine, green fluorescent protein, and the like), radiolabels (e.g.,. ³H, ¹²⁵I, ³⁵S, ¹⁴C, or ³²P), enzymes (e.g., horseradish peroxidase,alkaline phosphatase and others commonly used in an ELISA), andcolorimetric labels such as colloidal gold or colored glass or plastic(e.g., polystyrene, polypropylene, latex beads). Patents that describedthe use of such labels include U.S. Pat. Nos. 3,817,837; 3,850,752;3,939,350; 3,996,345; 4,277,437; 4,275,149; and 4,366,241. See alsoHandbook of Fluorescent Probes and Research Chemicals (6th Ed.,Molecular Probes, Inc., Eugene Oreg.). Radiolabels can be detected usingphotographic film or scintillation counters, fluorescent markers can bedetected using a photodetector to detect emitted light. Enzymatic labelsare typically detected by providing the enzyme with a substrate anddetecting the reaction product produced by the action of the enzyme onthe substrate, and colorimetric labels are detected by simplyvisualizing the colored label.

Suitable supports for use in the above methods include, for example,nitrocellulose membranes, nylon membranes, and derivatized nylonmembranes, and also particles, such as agarose, a dextran-based gel,dipsticks, particulates, microspheres, magnetic particles, test tubes,microtiter wells, SEPHADEX™. (Amersham Pharmacia Biotech, PiscatawayN.J., and the like. Immobilization can be by absorption or by covalentattachment. Optionally, antibodies can be joined to a linker molecule,such as biotin for attachment to a surface.

Solvents used to extract alpha synuclein from tissue samples candecrease the sensitivity of the assay (e.g., 5M guanidine,urea/thiourea/CHAPS, urea/thiourea, 1% SDS, 1%SDS/8M, cell lysisbuffer). It is recommended that such solvents be removed or diluted suchthat they account for less than 1% and preferably less than 0.1% of thebuffer used for the assay.

Preferred pairs of monoclonal antibodies for use in isometric assays areas follows. In one combination, the capture antibody specifically bindsan epitope within residues selected from the group consisting ofN-terminus, 40-55, 91-99 and 118-126, and the reporter antibodyspecifically binds an epitope within residues 109-120. Another suitablepairing is an antibody that specifically binds to an epitope withinresidues 124-134 and is specific for the phosphorylated form and anotherantibody that specifically binds to an epitope within residues 91-99.Other suitable pairings include an antibody that competes with 6H7 andan antibody that competes with 5C12 or 12C1; an antibody that competeswith 3A12 and an antibody that competes with 5C12 or 6H7; an antibodythat competes with 12C1 and an antibody that competes with 5C12 or 6H7;an antibody that competes with 9A6 and an antibody that competes with5C12, 6H7 or 12C1; an antibody that competes with 9G5 and an antibodythat competes with 5C12, 6H7 or 12C1; an antibody that competes with 9E4and an antibody that competes with 5C12, 6H7 or 12C1; an antibody thatcompetes with 1H7 and an antibody that competes with 5C12, 6H7 or 12C1;and an antibody that competes with 10G5 and an antibody that competeswith 5C12, 6H7 or 12C1, and antibody that competes with 1H7 and anantibody that competes with 11A5. Preferred pairings include 6H7 and5C12 or 12C1; 3A12 and 5C12 or 6H7; 12C1 and 5C12 or 6H7; 9A6 and 5C12,6H7 or 12C1; 9G5 and 5C12, 6H7 or 12C1; 9E4 and 5C12, 6H7 or 12C1; 1H7and 5C12, 6H7 or 12C1; 10G5 and 5C12, 6H7 or 12C1, 1H7 and 11A5.

Some method employ either a capture or a reporter antibody that isend-specific for a fragment of alpha-synuclein, particularly, SN1-119(i.e., residues 1-119 of SEQ ID NO:1) or SN1-122 (residues 1-122 of SEQID NO:1). Applications for detection of these fragments are describedbelow.

IV. Applications

A. Body Fluids

In vivo detection of alpha synuclein in patient samples can be used fordiagnosing and monitoring diseases characterized by Lewy bodies or otherdeposits of alpha synuclein. Synucleinopathic diseases includeParkinson's disease (PD), dementia with Lewy bodies (DLB), the Lewy bodyvariant of Alzheimer's disease (LBVAD), multiple systems atrophy (MSA),neurodegeneration with brain iron accumulation type-1 (NBIA-1), diffuseLewy body disease (DLBD), and combined PD and Alzheimer's disease (AD).Suitable patient samples include body fluids, such as blood, CSF, urine,and peritoneal fluid. The presence of a synucleinopathic disease isgenerally associated with significantly altered levels of alphasynuclein or fragments thereof in the fluid (increased or decreased)when compared to the mean values in normal individuals, i.e.,individuals not suffering from a synucleinopathic disease. A level issignificantly altered if it departs by more than one standard deviationfrom the mean level in a population of normal individuals.

In addition to initial diagnosis of synucleinopathic disease, condition,the measured concentrations of alpha synuclein and its fragments can bemonitored to follow the progress of the disease, and potentially followthe effectiveness of treatment. Levels of alpha-synuclein and itsfragments revert toward the mean in a population of normal individualsif the treatment regime is effective.

B. Cell culture

In vitro monitoring of alpha synculein and its fragment in conditionedculture medium from a suitable cell culture can be used for analyzingprocessing and secretion of alpha-synuclein and the effect of potentialagents on the same. Monitoring processing of alpha synuclein provides ameans to study proteolytic cleavage, identify responsible proteases,determine what factors affect cleavage, and determine the physiologicalfunction of truncated forms of alpha synuclein. Agents that inhibitprocessing and/or secretion of alpha synuclein have pharmacologicalactivity potentially useful for prophylaxis of synucleinopathic disease.Typically, inhibitory activity is determined by comparing levels ofalpha synuclein and/or its fragments in medium from a cell treated witha test agent versus a comparable control cell not treated with theagent. As discussed in copending application U.S. Ser. No. 60/471,929filed May 19, 2003, U.S. Ser. No. 10/850,570 filed May 19, 2004 andattorney docket 015270-011520US filed Oct. 19, 2004, which is a CIPthereof, certain fragments of alpha synuclein with C-terminaltruncations preferentially accumulate in Lewy bodies (e.g., SN1-119 andSN1-122). For example, media from PeakS cells transfected with alphasynuclein contain two prominent truncated species of about 12 and 7 kDa.Agents inhibiting processing reactions that form such fragmentstherefore have pharmacological activity useful for treating diseasescharacterized by Lewy bodies. The NAC fragment of alpha synucleinaccumulates in extracellular amyloid deposits in Alzheimer's disease.Agents that inhibit formation or secretion of NAC therefore havepharmacological activity useful for treating Alzheimer's disease.

Suitable cells include cells transfected with nucleic acids encodingalpha synuclein, preferably, human alpha synuclein and cells naturallyexpressing alpha synuclein, also preferably human. The alpha synucleinin transfected cells can bear a mutation, such as S129A, S129D, A53T andA20P. Cells include PeakS cells, SY5Y cells, human cortical cells, humanneuroglioma cell lines, human HeLa cells, primary human endothelialcells (e.g. HUVEC cells), primary human fibroblasts or lymphoblasts,primary human mixed brain cells (including neurons, astrocytes, andneuroglia), Chinese hamster ovary (CHO) cells, and the like. SY5Y cellsare neuronal cells that can be induced to differentiate by treatmentwith retinoic acid/BDNF (brain derived neurotrophic factor). Transfectedcells expressing alpha synuclein at higher levels than normal humancells are preferred. In some such cells, the alpha synuclein bears amutation associated with synucleinopathic disease.

Random libraries of peptides or other compounds can also be screened forsuitability. Combinatorial libraries can be produced for many types ofcompounds that can be synthesized in a step-by-step fashion. Suchcompounds include polypeptides, beta-turn mimetics, polysaccharides,phospholipids, hormones, prostaglandins, steroids, aromatic compounds,heterocyclic compounds, benzodiazepines, oligomeric N-substitutedglycines and oligocarbamates. Large combinatorial libraries of thecompounds can be constructed by the encoded synthetic libraries (ESL)method described in Affymax, WO 95/12608, Affymax, WO 93/06121, ColumbiaUniversity, WO 94/08051, Pharmacopeia, WO 95/35503 and Scripps, WO95/30642 (each of which is incorporated herein by reference for allpurposes). Peptide libraries can also be generated by phage displaymethods. See, e.g., Devlin, WO 91/18980. The test compounds aretypically administered to the culture medium at a concentration in therange from about 1 nM to 1 mM, usually from about 10 μM to 1 mM. Testcompounds which are able to inhibit formation, processing or secretionof alpha synuclein are candidates for further determinations intransgenic animals and eventually human clinical trials.

C. Transgenic Animals

The antibodies of the invention and assays for detecting them can alsobe used to monitor alpha synuclein production, and processing intransgenic animal models of disease. Transgenic animal models of Lewybody disease are described by Masliah, et al. Science 287:1265-1269(2000); Masliah et al., PNAS USA 98:12245-12250 (2001). Alpha synucleincan be analyzed either in body fluids as described above for humansamples, or in tissue samples taken directly from the animal (seecopending 60/423,012, filed Nov. 1, 2002, incorporated by reference).Tissue samples can be classified as Lewy body, particulate fraction andsoluble fractions. Simple assays can be performed as for cell culture toscreen agents for capacity to inhibit formation of alpha synuclein orits processing to fragments. Typically, the inhibitory activity isdetermined by comparing the level of alpha synuclein or a fragmentthereof in a particularly body fluid or fraction from a tissue samplefrom a transgenic animal treated with the agent in comparison with thelevel of alpha synuclein or the fragment in the same body fluid orfraction in a control transgenic animal not treated with the agent.Inhibitory activity is shown by decreased levels of alpha synuclein offragment thereof in the treated animal relative to the control.

Tissue samples from the brains of human patients can be subject tosimilar analyses. However, as obtaining samples from the brains ofpatient is an undesirably invasive procedure, such analyses are usuallyconfined to cadavers. The analyses are useful, for example, inidentifying fragments of alpha synuclein that preferentially accumulatein Lewy bodies, as described in copending application 60/471,929, filedMay 19, 2003 and its progeny supra.

V. Kits

The invention further provides kits including one or more antibodies ofthe invention. In some kits the antibodies are preimmobilized to a solidphase. For example, several different antibodies can be immobilized tothe wells of a microtiter dish. Optionally, labeling reagents, such asan antiidiotypic antibody are also included in the kits. The labelingmay also include a chart or other correspondence regime correlatinglevels of measured label with levels of antibodies to alpha-SN. The termlabeling refers to any written or recorded material that is attached to,or otherwise accompanies a kit at any time during its manufacture,transport, sale or use. For example, the term labeling encompassesadvertising leaflets and brochures, packaging materials, instructions,audio or video cassettes, computer discs, as well as writing imprinteddirectly on kits. The kits can be sold, for example, as research ordiagnostic reagents.

Although the invention has been described in detail for purposes ofclarity of understanding, it will be obvious that certain modificationsmay be practiced within the scope of the appended claims. Allpublications and patent documents cited in this application are herebyincorporated by reference in their entirety for all purposes to the sameextent as if each were so individually denoted.

EXAMPLES

I. Antibodies of the Invention

TABLE 1 Epitope Mapping Antibody Antigen (aa#) SEQ ID NO: 1 IsotypeSpecificity Application 7G4 (JH4) bovine α- and β-synuclein 109-120IgG2a α WB, H, IF 6A8 bovine α- and β-synuclein 109-120 IgG2b α WB, IP,H, IF 5C12 bovine α- and β-synuclein 109-120 IgG2b α WB, IP, ER, H, IF6A12 bovine α- and β-synuclein 109-120 IgG2b α WB, IP, IF 4B1 bovine α-and β-synuclein C-terminus IgG2a α β WB 8A5 bovine α- and β-synucleinC-terminus IgG1  α β WB, IP, IF, poor EC 6H7 (JH17) recombinant humanα-synuclein N-terminus IgG1 k α β WB, EC, ER 3A12 recombinant humanα-synuclein 43-51, 58-65 IgG1 k α β WB, EC 12C1 recombinant humanα-synuclein 43-51, 58-65 IgG1 k α β WB, EC, ER 9A6 recombinant humanα-synuclein 91-96 IgG1 k α β WB, EC 9G5 recombinant human α-synuclein91-96 IgG1 k α WB, EC 9 E4 recombinant human α-synuclein 118-126 IgG1 kα, slight β WB, EC (human specific) 1H7 recombinant human α-synuclein91-99 IgG1 k α WB, EC 23E8 (JH19) VGSKTKEGVVHGVATVGGC 40-55 IgG1 k α βWB, IP, EC (SEQ ID NO:4) 10G5 (JH21) EA(nitro Y)EMGGC 123-127 IgG2a k    α β(?) WB (SEQ ID NO:5) (nitrotyrl125) 11A5 (JH22)CAYEMP(phosphoS)EEGYQ 124-134 IgG1 k α (SEQ ID NO:6) (phosphol129)ELADW-101 CGGDMPVD 115-119 Neo-epitope WB, IP, (SEQ ID NO:7)specificity, ELISA, H 12C6 CGGDMPVD 115-119 IgG1 k Neo-epitope WB (SEQID NO:7) ELADW-103 PDNEAGGC 120-124 Neo-epitope WB, IP, (SEQ ID NO:8)specificity, ELISA, H Abbreviations: IP (immunoprecipitation); H(histology); EC and ER (ELISA capture and reporter antibody); WB(western blot)., IF immunofluorescence.

The antibodies were produced by immunizing with the antigen shown.Hybridomas were produced by standard methods, and tested for appropriatebinding specificity.

II. ELISA Assays

Capture antibodies were biotinylation by a modification of the Igencommercial method. Pierce sulfo NHS biotin was prepared at 4 mg/ml inH2O and added at a 40 M excess to 1 mg/ml antibody in 150 mM KPO4 pH7.8. This was incubated with gentle mixing in the dark for two hours andthen dialyzed against PBS to remove free biotin. Capture antibodies werediluted to 10 μg/ml in Well Coating Buffer 0.1 M PO4. pH 8.5. Plateswere coated 100 μl per well in Dynx 4HBX plates overnight at roomtemperature. Plates were then blocked in 0.25% Casein/PBS.

Standard curves of synuclein were prepared either in SpecimenDiluent—(0.6% BSA, 0.05% Triton 405, 0.5% Thimerisol in 0.1 M PO4, 0.15M NaCl pH 7.4) or 0.5 M guanidine, 0.25% casein/protease inhibitor/PBSdepending on the samples to be assayed. Samples were diluted in eitherSpecimen Diluent or the guanidine/casein depending on sample. Standardsand samples were incubated over night at 4° C. For simple samples, roomtemperature and a few hours are sufficient. Plates were washed 4 times.

Plates were then incubated with the appropriate biotinylated antibody at2 μg/ml in Specimen Diluent for 1 hour. Plates were washed 4 times.Plates were then incubated with Vector Strepavidin HRP 1/5000 orAmersham Strepavidin HRP at 1/10000 in Specimen Diluent at 100 μl/wellfor 1 hour. Plates were washed 4 times. BioFx TMB was added 100 μl/welland incubated 5 minutes at room temperature. The reaction was stoppedwith 100 μl BioFx stop and read on a Spectromax plate reader at 450 nm.Samples were assayed from the standard curve using the machine softwareand a 4 parameter curve fit.

ELISA assays were developed for the measurement of synuclein fromvarious sources included human and rodent brain, cell culture and LewyBody Preps. The follow table describes the sensitivity of variouscapture antibodies when 5C12 biotin is used as the reporter

TABLE 2 Antibody Epitope recognized Sensitivity 1H7 91-99 α specific  100 pg/ml 3A12 43-51 & 58-65 α/β   300 pg/ml 6H7 N-terminus α/β   7000pg/ml 9A6 91-96 α specific   300 pg/ml 9E4 118-126 α specific Not done9G5 91-96 α specific   1000 pg/ml 12C1 43-51 & 58-65 α/β   1000 pg/ml8A5 control C-terminus α/β 10,000 pg/ml

1H17/5C12 was shown to have the best sensitivity in the above assays.1H7 was then used as a plate coat to investigate if any other antibodiesused as a reporter offered any increases in sensitivity. Table 3describes the results.

TABLE 3 Antibody Epitope Sensitivity 3A12 43-51 & 58-65 α/β Did not work6H7 N-terminus α/β 2200 pg/ml 9A6 91-96 α specific Did not work 9E4118-126 α specific, human specific  750 pg/ml 9G5 91-96 α specific Didnot work 12C1 43-51 & 58-65 α/β 2000 pg/ml 5C12 109-120 α specific  100pg/ml 8A5 C-terminus   2 ng/ml

9A6 and 9G5 appeared to fail as a reporter due to cross blocking of thecapture and reporter. The failure of 3A12 is due to poor biotinylationof the antibody and can be re-visited if needed.

From these results, the combination of 1H7 capture and 5C12 reporter fortotal synuclein in human samples is recommended. Although the 5C12antibody binds to both mouse and human alpha synuclein, this is not aproblem in human samples because no mouse synuclein is present. Thecombination of 1H7 capture 9E4 reporter for detecting human alphasynuclein in transgenic mouse brains is recommended. 9E4 is specific tohuman alpha synuclein. Both formats are specific for alpha-synuclein.The combination of 1H7 capture and 8A5 reporter is recommended formeasurement of alpha synuclein having an intact C-terminus. Thecombination of 11A5 capture and 5C12 reporter is suitable for detectingalpha synuclein phosphorylated at residue 129. The combination of 1H7 ascapture antibody and 11A5 as reporter offers about ten-fold greatersensitivity. The 11A5 antibody is specific for alpha synucleinphosphorylated at residue 129.

A calibration curve showing OD450 vs. concentration of alpha synucleinusing 1H7 and 5C12 as capture and reporter antibody is shown in FIG. 2.The assay is more sensitive in the absence of guanidine. A calibrationcurve for 1H7/9E4 in the presence of 0.5 M guanidine buffer is shown inFIG. 3. The guanidine maintains synuclein in a mildly denatured statemaking epitopes available for antibody binding and decreasinginteractions with other proteins. FIG. 4 shows a calibration curve forthe combination of 11A5/5C12 for detection of phosphorylated alphasynuclein. The actual sensitivity is about twenty fold greater than themeasure value of 9 ng/ml because the alpha synuclein was only about 6%phosphorylated.

The capacity of the ELISA assay to quantify synuclein in a sample wastesting by spiking brain homogenates from nontransgenic mice with knownamounts of alpha synuclein. FIG. 1A shows the results using 1H7/5C12 ascapture and reporter antibodies. The assay detects 96% of the addedalpha synuclein. Some synuclein is detected in the control because the5C12 antibody binds to both mouse and human alpha synuclein. FIG. 1Bshows the results using 1H7 and 9E4 as capture and reporter antibody. Inthis case, no alpha synuclein is detected in the control because 9E4binds to human alpha synuclein only. 92% of the added alpha synucleinwas detected in the spiked sample, showing that detection isquantitative.

III. α-Synuclein Detection in Samples

The ELISA assay was used to detect alpha synuclein in soluble,particulate and Lewy body preparations from DLBD patients and controls.A brain homogenate was spun at 1000 g. The pellet was the source of Lewybodies. These were prepared by Percoll gradient density fractionation,DNA digestion, and immunoaffinity purification using antibodies taggedwith magnetic beads. Optionally, the alpha synuclein content of Lewybodies can be enriched by stripping with the anionic detergent sarkosyl.The soluble and particulate fractions were prepared by spinning theinitial supernatant at 150,000 g. The resulting supernatant was referredto as a soluble fraction, and the pellet as the particulate fraction.Synuclein can be extracted from these fractions using 0.5 and 5 Mguanidine respectively. Note that the Lewy body samples were in UTC andthat the soluble brain samples were prepared in Tris-buffered sucrose,and were assayed at a dilution in which these buffers did not interferewith the ELISA.

The soluble extract of the 8 human brains assayed contain approximately0.03% of α-synuclein. There is a trend toward decreasing amounts ofα-synuclein in the soluble brain fraction of a diseased patient. (Table4). There is a statistically significant increase in the amount ofsynuclein in the particulate fraction of the DLBD brain (Table 5). Theincreased level of synuclein may be due to immature Lewy bodies that areto small to pellet with mature Lewy bodies in the initialcentrifugation.

The amount of α-synuclein in the Lewy body prep varies. According to the1H7/5C12 ELISA, synuclein comprises at most 0.07% of the total Lewy bodyprotein. The 1H7/9E4 ELISA measures approximately 60% less α-synucleinin the Lewy bodies than the 1H7/5C12 ELISA. The 9E4 reporter antibodyrecognizes an epitope more C-terminal than that of 5C12, and thereforethe assay may simply reflect the presence of C-terminal truncations inthe Lewy bodies as seen on 2-D gels. In this case loss of 9E4 reactivityor a lowered ratio of 9E4/5C12 activity (or other antibodies with thesame or similar epitopes) is a marker of pathogenicity. Indeed, the 9E4epitope encompasses the estimated cleavage sites. The soluble fractioncontains less truncated synuclein and did show only a 12% differencebetween the ELISA assays consistent with this interpretation. Analternate explanation is that 9E4's epitope is modified or masked(perhaps due to the aggregation as described above or modification oftyrosine at 125) and cannot be detected.

TABLE 4 Soluble fraction

TABLE 5 (α-Synuclein ELISA Results From Lewy Bodies

TABLE 6 Alpha synuclein in Lewy bodies ng α-Synuclein/mg Protein Sample5C12 9 E4 9 E4/5C12 P36A 7596 2442 32% P36A 7413 1587 21% P40A 561 18032% P40A 557 206 37% P50A 3836 823 21% P50A 3761 896 24% Mean 3954 102228%Detection of α-Synuclein in Blood

Blood samples from four healthy volunteers were collected into bothEDTA- and heparin-containing tubes and plasma samples were prepared. Theplasma was initially diluted 2-fold with 1M guanidine for a finalconcentration of 0.5 M guanidine. Samples were assayed in 1H7/5C12 ELISAassay using the standard buffer of 0.25% casein, 0.5 M guanidine, andprotease inhibitors plus 300 μg/ml mouse IgG (added to preventinterference from a human anti-mouse response that can be quite commonin patient samples).

Plasma from the EDTA collection gave excellent spike and recovery ofα-synuclein. The amount of synuclein varied almost 2-fold betweenpatients. The amount of synuclein in the heparin collected plasma was upto 10-fold lower than that of the EDTA collected plasma. Not only wasthe total α-synuclein concentration lower but so was the spike andrecovery indicating that heparin interferes with the assay possibly bybinding to synuclein. In all further experiments, EDTA collection tubeswere used.

The presence of synuclein in the plasma indicates that it is produced incells from the blood. Secretion is unlikely because synuclein is not asecreted protein. Release during cell breakage is more likely. Whichcells in the blood, i.e. white blood cells (WBC), red blood cells (RBC),and platelets produce synuclein was investigated. To prepare WBC, wholeblood was spun down at 1000×g and the plasma removed. The packed cellpellet was washed two times at 300×g to remove any plateletcontamination. The RBC were lysed in de-ionized water for 1 minute andthe sample was readjusted to 1×PBS. There was a small amount of RBCcontamination. The resulting pellet was homogenized in 5 M guanidine,diluted 1/10 in assay buffer, treated with DNAse, and then spun in themicrofuge to remove insoluble material.

In an alternate fractionation, blood was processed to generate totalblood cells, platelets and plasma. The blood was spun at 350×g to pelletcells but not platelets. The plasma was removed and spun at 1000×g toremove platelets. The cell pellet was washed two times at 350×g toremove any remaining platelets. Both plasma and cells were initiallydiluted/homogenized in 5 M guanidine. The cell pellet was furtherdiluted 1:10, treated with DNAse and spun to remove insoluble material.To test the synuclein specificity of the ELISA, an aliquot of theplatelet and the total blood cell samples were absorbed with thesynuclein antibody 1H7 coupled to Sepharose.

The amount of synuclein measured in whole blood is too large to beaccounted for by platelets or by WBC as previously shown, thus stronglysuggesting that RBC, the most abundant cells in the blood, are the majorsource of synuclein in blood.

All samples (except plasma) were assayed for spike and recovery and wellas % synuclein absorbable with 1H7 resin. In addition, all samples wererun in the phospho-synuclein assay.

TABLE 7 ng/ml % Spike Sample Synuclein ng/ml PO4-Syn Recovered %Absorbable Whole Blood 22000 132 92 64 Platelets 152 0.91 115 68 WBC1.96 BLD 84 84 Platelet Free 10.8 BLD ND ND Plasma Platelet Rich 63.3BLD ND ND Plasma

The results confirm that low levels of synuclein are present in plasmaand that low levels are also present in the cellular components ofblood, WBC and platelets, leaving only the RBC unaccounted for. Thus bysubtractive analysis, greater than 99% of the synuclein in blood residesin the RBC, with most of the remaining synuclein residing in theplatelets. Less than 1% of the synuclein was phosphorylated in the1H7/11A5 assay. The spike and recoveries were very good in all but theWBC prep. The absorption of synuclein by 1H7-conjugated Sepharose wasnot as robust as in the previous experiment but nonetheless indicatedthat the majority of the ELISA signal could be removed with asynuclein-specific antibody and therefore was likely due to synuclein.

The large amount of synuclein in RBC makes it difficult to accuratelyassess the amount of synuclein in plasma and WBC. A minor amount ofcontamination or lysis of RBC will greatly elevate the concentrationfound in these compartments. Platelets are difficult to work with in aclinical setting since all manipulations must be done within severalhours of blood collection. In addition, platelets are notorious foractivating even under the best of assay circumstances. Therefore themost practical measure of synuclein in blood is from total blood cells.

1. A method for detecting alpha synuclein in a fluid sample, comprising:(i) contacting the fluid sample with a capture antibody, whereby thecapture antibody captures the alpha synuclein, and (ii) detecting thealpha synuclein using a reporter antibody, wherein the capture andreporter antibodies bind to different epitopes on alpha synuclein, and;wherein the reporter antibody or the capture antibody is an end-specificantibody that binds to the C-terminal end of SN1-119 (residues 1-119 ofSEQ ID NO:1) or SN1-122 (residues 1-122 of SEQ ID NO:1).
 2. A method fordetecting alpha synuclein in a fluid sample, comprising: (i) contactingthe fluid sample with a capture antibody immobilized to a solid phase,and a reporter antibody in solution, whereby the immobilized captureantibody and the reporter antibody bind to the alpha synuclein forming asandwich, and (ii) detecting the alpha synuclein using the reporterantibody, wherein the capture antibody specifically binds to an epitopewithin amino acids 91-99 of SEQ ID NO:1 and the reporter antibody bindsto an epitope within amino acids 109-120 of SEQ ID NO:1.
 3. The methodof claim 2, wherein the capture antibody is 1H7 (deposited as ATCCAccession No. PTA-8220) and the reporter antibody is 5C12 (deposited asATCC Accession No. PTA-9197).
 4. The method of claim 3, wherein thesample is a sample from a human.
 5. The method of claim 2, that is anELISA method.
 6. The method of claim 2, wherein the capture antibody isimmobilized in a microtiter well.
 7. A method for detecting alphasynuclein in a fluid sample, comprising: (i) contacting the fluid samplewith a capture antibody immobilized to a support, and a reporterantibody in solution, whereby the immobilized capture antibody and thereporter antibody bind to the alpha synuclein forming a sandwich and(ii) detecting the alpha synuclein using the reporter antibody, whereinthe capture antibody is 1H7 (deposited as ATCC Accession No. PTA-8220)and the reporter antibody is 9E4 (deposited as ATCC Accession No.PTA-8221).
 8. The method of claim 7, wherein the sample is a sample froma human.
 9. A method for detecting alpha synuclein in a fluid sample,comprising: (i) contacting the fluid sample with a capture antibodyimmobilized to a support, and a reporter antibody in solution, wherebythe immobilized capture antibody and the reporter antibody bind to thealpha synuclein forming a sandwich and (ii) detecting the alphasynuclein using the reporter antibody, wherein the capture antibody is1H7 (deposited as ATCC Accession No. PTA-8220) and the reporter antibodyis 11A5 (deposited as ATCC Accession No. PTA-8222).
 10. The method ofclaim 9, wherein the sample is a sample from a human.
 11. A method fordetecting alpha synuclein in a fluid sample, comprising: (i) contactingthe fluid sample with a capture antibody immobilized to a support, and areporter antibody in solution, whereby the immobilized capture antibodyand the reporter antibody bind to the alpha synuclein forming a sandwichand (ii) detecting the alpha synuclein using the reporter antibody, andwherein the capture and reporter antibodies bind to different epitopeson alpha synuclein, wherein the capture antibody specifically binds toan epitope within SN 91-99 (residues 91-99 of SEQ ID NO:1), and whereinthe detecting step is performed twice, wherein the reporter antibody ina first detecting step specifically binds to an epitope within SN109-120 (residues 109-120 of SEQ ID NO:1), and the reporter antibody ina second detecting step specifically binds to an epitope within SN120-126 (residues 120-126 of SEQ ID NO:1).